I hereby authorize Changemaker Legal and its directors and officers to verify and make copies of any information provided in this application in the course of determining eligibility for the program. I hereby release any person or entity complying with this authorization from any claims relating to the disclosure of any such information and documents. A copy of this authorization shall be as valid as the original.
By signing below, I certify that the information provided in this application is true and accurate to the best of my knowledge. I understand that participation in this program may involve regular communication and cooperation with Changemaker Legal.
I further acknowledge and agree that submission of this application does not guarantee that legal services will be provided. No attorney-client relationship is created by the submission of this application, any communications related to the application, or any preliminary discussions regarding potential representation. Any legal services relationship will begin only after (i) all applicable conflicts checks have been completed and cleared to the satisfaction of Changemaker Legal, and (ii) both Changemaker Legal and I (or the organization with which I am affiliated) have executed a written engagement agreement. Until such time, Changemaker Legal has no obligation to provide legal advice, representation, or other legal services.